The URL can be used to link to this page

Permit CITY OF TIGARD MASTER PERMIT le COMMUNITY DEVELOPMENT Permit#: MST2016-00114 Date Issued: /2016 04/12 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 412/20/6 700 Jurisdiction: Tigard Site address: 13061 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: 155 Project: Summit Ridge No. 5, Lot 155 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 907 sf Basement: 116 sf Left: 5 Parking Spaces: 0 Height: 32 Bathrooms: 3 Second: 931 sf Garage: 421 sf Front: 20 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 1954 sf Value: $239,270.17 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel TVDes Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1954 Owner: Contractor: DR HORTON INC DR HORTON INC PORTLAND Required Items and Reports(Conditions) 4380 SW MACADAM AVE 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97239 PORTLAND,OR 97239 2 A Geotechnical report is required before the footing 3 Special welding inspection PHONE: PHONE 503-222-4151 required before shear wall FAX: 503-222-1304 4 Fire Sprinklers are Required Total Fees: $27,665.14 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 49?ff 4-e----- Permittee Signature: /947 1979 4id 0/ 1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the Job site at the time of each inspection. t 1 t or ,' s',5 Paan«-0001,g o5 bt Building_Permit Application RECEIV • Ls J le1 Residential FOR 01 1-1( I. 1 SI O\1 \ City of Tigard MAR 1 6 2011 Received / Permit No II 111 13125 SW Hall Blvd..Tigard,OR 97223 CITY OF TIG Dato/By: "J/�� •e� / tf 7 ,b— 0/1 y ■, n Review jj C l j‘�0O 702 Phone: 503.718.2439 Fax: 503.598.1960 TIGA J Other Per BUILDING 1(Re I I i, F;I� Inspection Line: 503.639.4175 DIMS' (I ReadyBy: / �G'p_, 1 lir s: See Page 2 for Internet: www.tigard-or.gov NotinediMethod:. 16,, 3 Suppiemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING •New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation:X39 a-l ) 0SZN------Izzris:i\'' Q I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: ti 0 Master builder 0 Other: Number of bathrooms: ' `� JOB SITE INFORMATION AND LOCATION /�� j Total number of floors: 3 a.3 C Job site address: l�0111 i '� /tiL w"vri�`� `k New dwelling area: O �Lt square feet City/State/ZIP:Tigard, OR 97223 w'"" Garage/carport area: L (11 square feet Suite/bldg./apt.no.: Project name:Summit Ridge Covered porch area: LZ square feet 93 j Cross street/directions to job site: Deck area: square feet 90 7 Other structure area: square feet j f 6 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: (Gc Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ New SFR Existing building area: square feet New building area: square feet a PROPERTY OWNER 0 TENANT Number of stories: Name: DR Horton Inc. Type of construction: Address: 4380 SW Macadam Ave Suite 100 Occupancy groups: City/State/ZIP: Portland, OR 97239 Existing: Phone:( 503) 222-4151 Fax:( ) New: 0 APPLICANT • CONTACT PERSON BUILDING PERMIT FEES* (Please refer ro fee schedule) Business name: DR Horton Inc. Structural plan review fee(or deposit): Contact name: Emerald Weeks FLS plan review fee(if applicable): Address: 4380 SW Macadam Ave Suite 100 Total fees due upon application: City/State/ZIP: Portland, OR 97239 Phone:(503 )222-4151 X1107 Fax::( ) Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: esweeks@drhorton.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: DR Horton Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:4380 SW Macadam Ave Suite 100 Solar Installation Specialty Code checklist. City/State/ZIP: Portland, OR 97239 Permit Fee(includes plan review $180 00 and administrative fees): Phone:(503 ) 222-4151 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 130859 Total fee due upon application: 5201.60 Authorized signature: I ] 1 �� ,/ ' I'f This permit application expires if a permit is not obtained f `��' jL �� within 180 days after it has been accepted as complete. Print name: F a1 f'L 4 1,1 t/V-( Date:2016 *Fee methodology set by Tri-County Building Industry /LSService Board. I:,Building.,Pennits\.BUP-RESPcnnitApp.doc 02/24/2011 440-4613T(Il/021COM!WEB) , , Building Permit Application Checklist One- and Two-Family Dwelling RECEIVED Folz OFFICE t SE ()Ni.‘ City of Tigard Received 1114 `'r Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 +�I�R 16 2016 Date/By:Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 CITY OF -flGARD 0 Electrical 0 Plumbing 0 Mechanical I I(. \l.I) Internet: www.tigard-or.gov BUILDING DIVISION 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No y/k 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ I 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 2 ❑ 0 3 Verification of approved plat/lot. 1 0 0 4 Fire district approval required. Name of district: Tualatin Valley . ■ ❑ i 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ 6 Sewer permit. it 0 ❑ 7 Water district approval. X ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. il ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state If ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if I ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft. intervals);location of easements and driveway; footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size it ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size, location of smoke detectors,water heater, El ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- . ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. • ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- II ❑ 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ® ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered I ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists I ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required IN 0 ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ® ❑ ❑ architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or II"x 17". ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. I ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. UI ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. UI ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. Q ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard II ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, I 0 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, II ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1:\Building\Permits\BOP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , ,i Mechanical Permit Applic EIVED rulz t1[ fl( r ► �, OM N- NlulAR 16 2016 ReceivedB City of Tigard ePermit No !/- 'DO// • 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review Phone: 503.718.2439 Fax: 503.59d fiev OF i luHRi� Other Permit: V�� T Date/By: TiG�1RD Inspection Line: 503.639.4175gBUILDING DIViSiC?�° DateReady/By- Jurir ® SeePage2for Internet: www.ti and-or. ov Notitied/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work •New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* •1 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑ Multi-family 0 Master builder 0 Other: Description . Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: t�f . ' L 27,/ r, , iAFurnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97223 _ "'-' Furnace 100,000-1-BTU(ducisivents) 54.91 g ' Heat pump 61.06 Suite/bldg./apt.no.: Project name: Summit Ridge Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas New SFR fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 • PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: DR Horton Inc. Range hood/other kitchen equipment 33.39 Address:4380 SW Macadam Ave Suite 100 Clothes dryer exhaust 33.39 Single-duct exhaust( City/State/ZIP:Portland,OR 97239 toilet compartments,utility rooms) 23.32 Phone:(503 ) 222-4151 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT • CONTACT PERSON Other: 23.32 Fuel piping: Business name: DR Horton Inc. $14.15 for first four;$4.03 for each additional Contact name: Emerald Weeks Furnace,etc. Address: 4380 SW Macadam Ave Suite 100 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Portland, OR 97239 Water heater Fax::( ) Fireplace Phone:(503 ) 222- 4151 X 1 107Range E-mail: esweeks@drhorton.com Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Birchfield Heating&Air MECHANICAL PERMIT FEES* Address: 'a \3o X S 62_ Subtotal tY CI 7 7 .� ' Minimum permit fee($90.00) City/State/ZIP: I a /' J I Plan review(25%of permit fee) Phone:(5 y i ) 4 Z!v-- 13 7 Fax:(94) ) 5 Z b 7 Z 7 i'' State surcharge(12%of permit fee) CCB lie.: $- Ci SE( TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Authorized signature: ilsif *of • Fee methodology set by Tri-County Building Industry Service Board Print name: j o.t.e y 131'r f`-,Fre 1 i) Date: I.\Building'Pcrmns'M EC_Permnnpp_040 113.doc 440.46171(1 1/02/COM/WEB) Electrical Permit ApplicationRECEIVE[) 1:o12 Orrl('I•: t SE O\Ll City of Tigard Received IME 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 1 6 2016 Date/B ' . �� Plan Review 1111 Phone: 503.718.2439 Fax: 503.598.1%0 OF Related Permit 5: Inspection Line: 503.639.4175 VI t Y riblAHU ReadyBDate/By: auris: I t e;;\F I) �yB! See Page 2 for Internet: www.tigard-or.gov BUILDING D I V I S I Q Notificd/Method: Supplemental Information ,'' ' . TYPE OP WORK PLAN REVIEW ., •New construction 0 Addition/alteration/replacement Pkase check all that apply(submit 2,sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. ','.1/2:',..T-i-,:',., , CA E(ORY'OP CON$IIRUcrtorti,, *`,,,-f- aexceeds 10.000 amps at 150 volts or 0 Floating buildings. 41-and 2-family dwelling 0 Commercial/industrial El Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ` ` °`. ,` ❑Emergency system. larger separately derived �-- _�V H ❑Addition more motor load of system. Job#: Job site address: }/.{V, OOHP or more. ❑"A" "E" "1-2.. .,1_3.. City/State/ZIP:Tigard, OR 97223 'A e ❑Six or more residential units. occupancy. ulC.l 1AN ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Summit Ridge ❑Hazardous locations. 0 Supply voltage for more than g ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description 1 QM I Each I Total i • New residential single-or multi-family dwelling unit. Subdivision: Lot#: (GS Includes attached garage. 1,000 sq.R.or less 168.54 4 Tax map/parcel#: Ea add'!500 sqft or poniot3 • 33.92 1 '' .," DESCRIPTION,OF WORK '-''''',4=.-'r Limited cnerbry,residential 1 75.00 2 New SFR (with above sq.IL) Limited energy,multi-family 75.00 2 residential(with above sq.IL) ;� Renewable Energy 0 Sec Page 2 �, PROPERTY OWNER J 0 TPNANT, Services or feeders installation,alteration,and/or relocation Name: DR Horton Inc. 200 amps or less 1 100.70 2 Address: 4380 SW Macadam Ave Suite 100 201 amps to 400 amps 133.56 2 401 amps to 600 amps , 200.34 2 City/State/ZIP: Portland,OR 97239 601 amps to 1,000 amps • 301.04 2 Phone:(503 )222-4151 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders Installation,alteration,and/or Email: esweeks@drhorton.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange.according to ORS 447.449,670,and 701. 201 amps to 400 amps 125.08 2 to amps amps599 Owner signature: Date: 168.54 2 Branch circuits—new,alteration,or extension,per panel 0 APPU+I NT _ . I SII CONTACT PENNON- , A.Fee for branch circuits with Business name: DR Horton Inc. above service or feeder fee, 2 each branch circuit 7'4`2 Contact name:Emerald Weeks B.Fee for branch circuits without Address: 4380 SW Macadam Ave Suite 100 ranch or feeder fee,firstb56.18 branch circuit 2 City/State/ZIP:Portland, OR 97239 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503 )222- 4151 x1107 Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:esweeks@drhorton.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 a Business name: Wright 1 Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 2 Address: 11490 SE Jennifer St, panel,alteration,or extension. ❑ Sec Page 2 City/State/ZIP:Clackamas, 97015 ClEach additional inspection over allowable in any of the above ackamas, Additional inspection(I hr min) 66.25/hr Phone:(503 )760-8522 Fax:63) t tiOaZ R 'eS Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: rlane@wrightlelectri.com g Inspections for which no fee is CCB Lic.:162368 Electrical Lic.:3-332e Supry.Lie.:3 specifically listed( :hr min) 90.00 hr n ELECTRICAL PERMIT FEES Suprv.Electrician signature,rt:quired: iD.bvu Mi Subtotal: Print name•Tptlolik. ts fwr.A.Lu 7Date: 2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authoriztxi si ure: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: ------------- Date: 2016 days after it has been accepted as complete. • Number of inspections allowed per permit. I.Building Permits ELC_PamitApp_E1R_ERE.doe Rev 06 17 2015 440.4615T(11.05 COMWE'D Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: DescriptFee for all residential systems combined: $75.00 Renewablen Qty. Each T°t.. y Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 ❑X 50.01 to 100 kva 552.26 2 Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 n Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is charged at an hourly(I hr min) 66.25/hr 1 Inspections for which no fee is 90.00/hr specifically listed(A hr min) aEOrt11 .11 R t`!''FEES Subtotal(Enter on Page I): Fee for each commercial system: $75.00 Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 'i Y705 I Plumbing Permit Applic CE'VED Building Fixtures 1 ,,I; (.1 I It 1 I \I (0.1 \ City of Tigard MAR 2 9 2016 DatrAl�a PamitNo:� �ll. _�!!�/ Rec • 13125 SW Hall Blvd.,Tigard,OR 97223 A`�y' Phone: 503.718.2439 Fax: 50i (160F TIGA�� Plan Review Inspection Line: 503.639.417 tt '' T1` f1\I �+! Dater thherPcrmitNu.: Internet: wW W.tioral-or. ov td��V"��,J'V�a�1 O� Doc Ready/By: lugs ®See Page 2 for 8 8 Notified/Method Supplemental information ' TYPE OF WORK . . FEZ* SCREDIME „ . ❑New construction 0 Demolition For special information use checklLrL Description I Qty. 1 Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OP CONS.TRUCTION SFR(1)bath 312.70 ❑I-and 2-family dwelling 0 CommSFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500 32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(l95y sq.ft.) ) Page 2 JO$ SITE IMMIX/TON AND LOCATION Site utilities: Job site address: 130 6 t 51/ . ,4(k ,N 4 frA 5 •)L Catch basin or area drain 18.76 DrCity/State/ZIP: 1i, 0k /1 Y2 Footing drain line,or trench drain 1 ge 2 Suite/bldg./apt.no.: name: -i ( F°°ti't8 drain(no.linear ft.: ) Page 2 ProjectSummit Ridge Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 ' Rain drain connector I8.76 Sanitary sewer(no.linear It: ) Page 2 Storrs sewer(no.linear ft.: ) Page 2 Lot 1 tr Water service(no.linear ft.: ) Page 2 Subdivision: i J r Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION Off,WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 r NSFR Drinking fountain 25.02 Ejectors/sump 25.02 a PROPERTY Y I ❑ upuirr Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: City/State/ZIP: Garbage disposal 25.02 Hose bib _ 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ A!n CANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:S_) Page 2 Contact name: Emerald Weeks Primer 12.51 Roof drain(commercial) 12.51 Address: 4380 SW Macadam Ave Ste. 100 Sink/basin/lavatory 25.02 City/State/ZIP: Portland,OR 97239 Solar units(potable water) 62.54 Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tub/shower/shower pan 12.51 _ E-mail: esweeks@drhorton.com Urinal 25.02 CONTRACTOR • Water closet 25.02 Water heater 37.52 Business name:GCo-JL k u.t t, )lt-kq j-V1 C Water piping/DWV 56.29 Address: N9�5 S. Grze„,"-c,...t Jzotr Other: _ 25.02 City/State/ZIP: or,elor,C.t+,i LDo_ (1Ot4 Subtotal Phone:(sa ) 1490-01113 Fax:(COI ) 2- 0-3S O to Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: i 9-t 50c a... sPlumbing Lic.no.: I 0(O5 Authorized signature: oS�� 8e(12°/.of permit fee)�'-v TOTAL PERMIT FEE Print name: SC y�� t � Date: This permit application expires If a perm!/Is not obtained within 114 days after h has been accepted as complete. •Fee methodology set by Tri-County Building Industry Service Board. I:\BuildiugiArnnitriPLMU-PurmitApp.dw: 10/01/D9 440-4616T(10/07/COM/WF.B) City of Tigard U COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /`7<S7'7 ,20/6 00//V Site Address: /S069 / Sz') to / 2i‘ / - Project Name: ,S?//J, j.L &' /rUr). c' Lot #: (New dwelling=subdivision e;Addition or.\iteration= last name of owner) Planning Review Proposal: -e , 3 Verify site address/suite# exists and active . permit system. / Over Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Site lan Elements: • ee (3) copies of site plan Pr�4 sting structures on site plan must he on 8-1/2"x 11"or 11 x 17"paper X ootprint of new structure (including decks)with finished • .wn to scale(standard architect or engineer scale) •or elevations • th arrow IP tility locations (required for new,may apply for additions) Fa - - address,project or subdivision name and lot number I t ation of wells/septic systems 1 .plicant information(name and phone number) X Erosion control (including drainage-way protection, silt fence dimensions and building setback dimensions sign,location of catch basin,etc.) rp.. .t area,building coverage area,percentage of coverage and freet names i'pervious area (applicable if R-7,R-12,R-25&R-40) eet tree size,type and location roperty corner elevations (2 foot contour lines if more than 1,1 ting trees to be retained with drip line,and tree 4 foot differential) protection measures Oflalean\Vater Services –Service Provider Lette (lot platted prior to 9/10/1995): VPequired: ❑ Yes,applicant was notified I(Q No Received: ❑ yes ❑ No ublic Facili . s Improvement (PFI) Permit: equired: jYes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake and Use Case #: �Li ',�[' (J�S^ — �000 �onin : g �( etbacks: Front / S Rear /S Side S— Street Side Op-Garage ,2,..) Pl-ndscape Requirement: C,-� °A ot Coverage Maximum: _� - °'o i/- 7 uilding Height: Maximum Height c�� Actual Height `�/ c.�" I El isual Clearance /Easements V'es ensitive Lands: ❑ No Type -7b.41LO{-)•– v. -ce 1 V Crban Forestry Plan onditions "Met"prior to issuance of building permit Notes: Approved By Planning: �� ; _ Date: —' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPennitRvw_RES_0121 16.docx , Building Permit Submittal Original Submittal Date: d//(0A6 Site Plans: # 3 Building Plans: # `3 Building Permit#: Fr:L'Enter building permit#above. Workflow Routing: [Planning qa'Engineering El—Permit Coordinator D`Snilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: [-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans, building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: .12L;C' y e _ Date: ,g//g/6 Engineering Review q. Slope at building pad: !O Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: IL Date: 3�� Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: evision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tai:: yes El N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: l 'Yes ❑ N/A .OK to Issue Permit / Approved by Permit Coordinator: Date:3 jZ, 1:\Building\Fonns\BldgPennitRvw_RES_012116.docx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13061 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 115 Electrical service PASS MST2016-00114 David Young Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13061 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 280 Insulation FAIL MST2016-00114 David Young Provide access to check attic insulation, or insulation certiﬁcation to be checked at building ﬁnal inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13061 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS October 28, 2016 at 12:36:15 PM MST2016-00114 David Young Note: no AC installed at time of ﬁnal inspection, permit and inspections required at time of installation. Violation Summary: Inspector Contractor REci KIVE1),‘ ki N P,• Mechanical Permit Applicati(Kp 2 1 2016 I(}I 4)1 I 1( I I si (1\I 1 City of Tigard OR viTy I III l'h-fftc '411"P-2439 1 it\ ,5,,,9 . , I 1,.c 5l);#-=,4, s B----- „,,,,-„,4 ,0 A fle-IMAI:y t 1 P,,• V ; . f'..,i • OFTIGAAD - ” ' 42.-.7 - _----.- 0- _ BUILDING DIVISION :: . . 12 'hr.Prgt:lit hoppiiivirathl:him,not -- -----.--- --------__ TYPOF WORK , ; COMMIRaAl IFEV•SCIIEDVII. M.(11E(MINI E ___ ----- -' - --- \i,..:• . .. ,,. ,r1,-.. • ,,!.. ...-,. ,.I . ,.,.. •I 0.,.,,., ,,,,,,,,,.1.‘,,, 0 Atkislion af•cratiora tepl.hviih:to r.r - .1 I , il :! ...,. • ,.r ,:'.I. .*, . •,.....• 0,,,,, I i —-- CATEGOR1' OF CONSIRUCIMIN ...._ . • _ \ .1.,, I. /4.-4-.•• ...................... ...._,......... RESIDENT1AL EQUIPMENT/SYSTEMS Vas` . ,.------- _............._...... . . lie I Algi?.-tatTith thtdIttic 0 t ,•::;thelt hit 110,;,:,,,1 0 A,,,,,,., buadmg Ii.,tre,i4dinjormatsikrt Ar,g 4.,,Al, 1 — i 0 Nuah,-1A.n,f, 0 N1.1.4..--builder 0.f'the: , I),. ,1;,.. ., ,- ---1 11,..im•t_____kuolin.: _________ JOB SITE INFORMATI l 'AND ..• T1ON L...:.______ . ..._... o •T IV 7 :. -------r—-7-4t. c-4s.vi 1 : th.:.,. . il.,:,:,,•s IsII i- Tijkyd.OR 97223 r- 1 —'----, ih.-.,,,•. .,- ..:,,• i 1 apl n- i 1""."1' '' Sun lid 11:,..•A • 4—....—-.-.....-. ...44. 1 . • ! (f 1•••• Oh L•1 Alteclit.:,*10 1,6..th: . •; ; : , - -- — -- _ I ii,'ILL.I'L, t:, , thv L'L.,•L•i,+ : I 31.4441: in-i1-. ,,:t.irt.1 s.',I. I 4f• - t --.--- 1'W( ‘Ll'il I.I.:11,,.: .I...11 , I _ o- F—-- -- — i....-6- - ,.... . :..; . , i „,. L., l- .--, — i Other fuel applianeet: t i.It map pairo.1 rml , V iItT twatv, i OFINCRIPTION OF WORK ; 1(.1,lirepl....:,n9t-t! i _ — , New SFR 1 re-qq..c ., ,__ .. 1 :• .: i } .... • I...-lIghis../IAN, —1 l..k%''''d . ......_ k ft-Cd ' Al e., , , .ot•I therlAc ta.e•-i i -+ 1 l 10111110 lirwr Itir t cir •PROPERTY OWN/A 1 0 TENANT .1,11, ___,.. . , . _ , — . — ,. fa%ironinental exhaust and i.entiluiluat: I, ..m. DR Horton Inc. u..,nr,ho, , idler k ii OIL, ... - , - .‘viipmen! ' ' ' 4Th OS SW Macadam Ave Suite 100 i!,.ii„:.,,b),.."1,, •, I • -1 -" ' -- . I ( II: M'Iliifr• )orndOR tla97 :L.4 239 401'0;citi:11 c thA•1.4 th.tthn•ri. ' — - ..!...._!2_TkIt . ..f..1.1.'.!:!""n• I , Plh'f'' '503 ' 22 -4J51 _ 0 APP _ IACAN1 ti-,4 '•\name I)R Horton Inc. i..0. f 4 CON-IA(1 PERSON , ‘L,,,T4.iv.,t,,ti, , (il. 1 _ ___ _ -------- .-,__. _ ---"'-' .!.!Ictpjpin: . . _ .. .... .. H-- — _ 114:15 fur Tint hair.%4.411 ha,reek additlued. , ((411%10 liani.. Lnieraid V ,,..„ , ,... — . vhin•-, 4380 SW Macadam Ave Suite 100 _ "s 1/4E0,ill. Portland ()R 97239 __I._ .t •_ 1 . -4 r ';03 212- 4151 x1107 ! 1••, • . 4....-- —....... . , ... ._ '''''.•''' esweekstedrhorton.com __________ . . . _ . .__ _ _ CONTRACTOR ' _ , 14...-iic.,ham( A C.C.Y 4 4_ a C - , wir HANK M.Ifflaff I pas- -- •.--1 I "JiC•`'". •if,.t,t,ility,, --:,7 -...L._ 1-e , / )• subiotat .i ---,--- -, ..--r- ___........ .. ..—_ _. _. , ('Ir,I, ill i,:.1f7-1 f;0 i/ ,:„. c,... i. • ,,-.: 4 ':-/ 4.bi'r IA: Ao,), ! L'r.,,,t -- t i i ,-T°*• ,, , . . , 14,,,,iv.k'u i Z,"••I pit rl.1:It.Pl.,t: l j , - "..e,,/ ' I.,‘ I.' , . ..-- ./• ,,, --- --- ;.U._ .1 s:L...ifilid,r. I r 1.. if la ..• .,•-,,,,,,, ..r..- 101 111'110111 FE1 , L — ' L•L -41, - — 1 hi.prrmll appl•catio*..%pia a.,if a prrmil is nal 4.14sioril..th.h pill' " e...elk,o ha.to•.1.i41.I pit il•••4 inspirit A 41111.4'M /4 li Nettrilint a ---........ *..--- 4......'..-- — • No,:LAW,- -----`'-..' , ......__.. _ -. . ... . Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13061 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal FAIL MST2016-00114 David Young Microwave not plugged in to check vent operation, ﬁlter not installed left side. Gas range not installed. Work not complete, not ready for ﬁnal mechanical inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13061 SW BLACK WALNUT ST, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS October 28, 2016 at 12:45:42 PM MST2016-00114 David Young Violation Summary: Inspector Contractor FOR OFFICE USE ONLY-SITE ADDRESS: �(i`r'�,,� This form is recognized by most building departments in the Tri-County area for transmitting information. U Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 71 Transmitt l Letter etter T I G A It D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: C I. k C.) l r,C itr! DATE RECEIVED: DEPT: BUILING DIVISSN 8 ,-'1.-:-.... ':',-.1--:' FROM: �C,M '�\'. ', 2�ib COMPANY: p 14rY D I, '=-.1 PHONE: SO ,a , - `-'' 5f- k By: r RE: / _ c (Site Address) jj (Permit Number) (Project name or subdivision n6rIne and lot number) ATTACHED ARE THE FOLLOWING IT Copies: �R -"b' 6 °i. T. 1 y , i.„..7,,,„.„1.-1,-,0_„.7)1, 1_,,,T 'a 2i'- �.i�ir ,,.,,,,t';,,,:,, f�opi ,.r .,r Description: ;i ... _.. Additional set(s) of plans. Revisions?? /Ca/ z�.SC2 se- // Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. \/. Other(explain): Pre, SFr'nk.,i2,(- Jul 5 — C; L7 4 REMARKS: ;-,17:9° 2-: r,. OuA Routed to Permit Technician: Date: Initials: Fees Due: Yes ❑No Fee Description: Amount Due:_ ,y;4..6 t /�-�s2- �2Ez� $ /Xs: r $ $ ,. '� , ' i! $ Special Instructions: Reprint Permit (per PE): ❑ Yes o ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc